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Total Fee: $ � % '7 �"! Date Received: <br /> Entered•By: ���� Permit#: <� ��,,Y <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ----------------------------------------------------------------------------- ------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTO$..:- <br /> _ _..----" <br /> JOB SITE ADDRESS: 3Z� 7 CASC � �'i�'�=�� ZIP: <br /> NAME OF OWNER: '✓� t/ o��fvk'T' C`r=1�' '��.�% PHONE: (home) g 7/—$Z4 6 <br /> (work) .E't�T%�<=:� <br /> MAILING ADDRESS: �l P�o U F CITY: [tif1 yZ/�T•5' ZIP: SS.� <br /> CONTRACTOR: NE li✓D�`S/CNS oF �f�'���' ���. PHONE: .�/�-• 1.��o� <br /> CONTACT PERSON:�'o�/ SC.�/.y.vZF� %• MOBILE/PAGER: --- <br /> MAILING ADDRESS• �736 /✓ S�•�.�� �-`-� . CITY: �!j���o ZIP: SS�.-'� <br /> STATE LICENSE: #. W�f Z (�{4 --~ .=�-�-r�"" 2����L�e�' <br /> �,�,�a�..,�� .�y- �, ��.�;,,- � <br /> ARCHITECT/ENGINEER: ��;� . . �,.,- -,,,..�• r PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> �JAME; REGISTRATION# <br /> TYPE OF WORK: New Addition_� Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detain: /� ,X�`� '� �'`"=�'"���` � <br /> �f�� �� .�a: �:, � � _ �s ' f= . .. . - - � � /,� � . �� ;r' <br /> STORIES: � SQ. FEET.OF EACH FLOO$r---� S,�_�� <br /> NO. OF BEDROOMS: �'' �'�GARAGE STALLS: ATT. / �DET. <br /> � _.___ _ <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 3 Z,/ ��� <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the City and with <br /> the State Building Code; that I understand this is not a permit and work is not to start without a <br /> � permit; and that the work will be in accordance with the approved plan. <br /> .- , � = <br /> APPLICANT'S SIGNATURE: w /_ �f{.:�!'�.._._-. ____ DATE: � —.�',� ,��v <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />